Polaris Healthcare And Rehabilitation Center
POLARIS HEALTHCARE AND REHABILITATION CENTER in MILFORD, DE — inspection on August 11, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During this time, A2 reported to the surveyor of needing assistance with changing and noted such delays were common, stating that sometimes staff just shut the light off and do not return promptly.3. R6's review revealed:7/19/25 11:30 PM - A concern form documented that R6 was not placed in bed until 11:30 PM, indicating a significant delay in bedtime assistance.8/6/25 7:00 PM to 8:00 PM - During an observation while on the Riverwalk unit there were two staff bathing a person, two staff in a room providing care and one staff person picking up trays and answering call bells.
During this time an interview was conducted with R6, and it was explained that assistance was required by staff to help R6 to bed. R6 further revealed that there are times that we do wait more than 30 minutes or longer for call bell to be answered or to be put to bed.4. R11's review revealed:8/11/25 8:53 AM -
During an interview R11and F2, long wait times for assistance were reported when for call bell response. F2 stated F11 was often found lying in urine and feces, prompting F2 to clean and change A2 personally due to lack of staff response.5. R13's review revealed:8/7/25 2:23 PM -
During an interview with R13 it was revealed that call bell responses often take longer than 20 minutes to get assistance.6. R19's review revealed:7/21/25 3:48 PM - A concern form noted that on Sunday morning, 7/20/25, R19 waited approximately 1.5 hours for call bell response. R19 disclosed needing to use the bathroom and had to wait for F3 to assist, indicating staff were unavailable when needed.7. R20's review revealed:8/11/25 9:48 AM - 10:13 AM - R20's call bell rang continuously for 25 minutes before a staff person responded.8/11/25 3:05 PM - Findings were reviewed during the exit meeting with E1, E2 (Regional), and E3 (Regional nurse).
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
085058 08/11/2025
Polaris Healthcare and Rehabilitation Center 21 W Clarke Avenue Milford, DE 19963
During this observation, R6 demonstrated how one of the four teeth can be moved all the way forward because it is loose.8/8/25 8:45 AM -
During an interview, E4 (unit secretary) stated that the dental team can perform teeth extractions in the facility. E4 stated that they understand that R6 wants to have her teeth extracted and the dental team is coming to the facility on 8/29/25. E4 stated that she is unaware if R6 is scheduled to have them extracted.8/8/25 9:05 AM -
During an interview, PC1 (dental company scheduler) stated that R6 is not scheduled to have extractions at that time.
The appointment on 8/29/25 is for the new dentist to conduct their initial exam with R6.8/11/25 1:30 PM - During an interview, E1 (NHA) confirmed the delay in R6's teeth extraction and starting her denture process.8/11/25 3:05 PM - Findings were reviewed during the exit meeting with E1, E2 (Regional), and E3 (Regional nurse).
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.